How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1.82 Median $2.14 Typical High $5.50 | Facility | None | $1.82 | $2.14 | $5.50 |
Aetna Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $3.47 | Professional | None | $1.82 | $1.82 | $3.47 |
Ambetter Setting Professional Modifier None Typical Low $1.05 Median $1.48 Typical High $56.23 | Professional | None | $1.05 | $1.48 | $56.23 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $1.05 Median $1.35 Typical High $95.50 | Professional | QW · Waived lab test | $1.05 | $1.35 | $95.50 |
BCBS North Carolina Setting Facility Modifier None Typical Low $5.01 Median $9.55 Typical High $9.55 | Facility | None | $5.01 | $9.55 | $9.55 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Cigna Setting Facility Modifier None Typical Low $1.58 Median $4.90 Typical High $10.23 | Facility | None | $1.58 | $4.90 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $1.17 Median $2.40 Typical High $3.63 | Professional | None | $1.17 | $2.40 | $3.63 |
Medcost Setting Professional Modifier None Typical Low $1.86 Median $2.88 Typical High $4.47 | Professional | None | $1.86 | $2.88 | $4.47 |
Medcost Setting Facility Modifier None Typical Low $1.78 Median $1.82 Typical High $4.68 | Facility | None | $1.78 | $1.82 | $4.68 |
Medcost Setting Professional Modifier None Typical Low $1.82 Median $3.24 Typical High $5.13 | Professional | None | $1.82 | $3.24 | $5.13 |
United Setting Professional Modifier None Typical Low $1.35 Median $2.19 Typical High $3.09 | Professional | None | $1.35 | $2.19 | $3.09 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.89 Median $0.89 Typical High $0.98 | Professional | 52 · Reduced service | $0.89 | $0.89 | $0.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.36 Median $0.36 Typical High $0.39 | Professional | 53 · Discontinued | $0.36 | $0.36 | $0.39 |
Where North Carolina sits
The same service costs 20.4 times more in Vermont than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
North Carolina· 46th of 51
$2.14
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.